Atlanta Sports Podiatry

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ATLANTA SPORTS PODIATRY

Practice address

9700 Medlock Bridge Rd Ste 126
Johns Creek, GA 30097-4408

Phone

(770) 614-0003

NPI assigned

Oct 4, 2018

Last updated

Nov 15, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jay E Spector, DPMNPI 1619979325

Title

Owner

Phone

(770) 614-0003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay Erin Spector, DPM

  • Podiatrist
  • Johns Creek, GA
  • NPI 1619979325
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1902371073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 MEDLOCK BRIDGE RD STE 126",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974408",
            "telephone_number": "770-614-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 MEDLOCK BRIDGE RD STE 126",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974408",
            "telephone_number": "770-614-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA SPORTS PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-614-0003",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlanta Hand Therapy LLC
• Atlanta Prime Physicians LLC
• Atlanta Scoliosis Center
• Atlanta Senior Advocates, LLC
• Atlanta Sports Chiropractic LLC
• Atlanta Urgent Care Clinic
• Atlanta Vision Institute PC
• Leela Prasad Atluru, RPH
• Audiology Hear for You LLC
• Michelle Mullins Austin, M.S., BCBA

• Podiatrist in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.